Experience Infusion Center-Katy-Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EXPERIENCE INFUSION CENTER-KATY-INC

Practice address

25910 Westheimer Pkwy Ste 110
Katy, TX 77494-5391

Phone

(281) 240-4144

NPI assigned

Jul 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Mackey-Mitchell

Title

Administrator

Phone

(281) 240-4144

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1487263091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 WESTHEIMER PKWY STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25910 WESTHEIMER PKWY STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945391",
            "telephone_number": "281-240-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE INFUSION CENTER-KATY-INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "MACKEY-MITCHELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-240-4144"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "endpointDescription": "KATY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Katy",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Katy",
            "address_1": "25910 Westheimer Pkwy Ste 110",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774945391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.